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General NPI Number Information
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NPI Number | 1578115911
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Entity Type | Organization
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Legal Business Name | WHOLE HEART FAMILY MEDICINE
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Dates
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Enumeration Date | 07/16/2019
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Last Update Date | 10/31/2019
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Provider Practice Location Address
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Address Line | 2891 TRICOM ST STE C
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406-7110
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Country | US
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Telephone | 843-367-0190
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Fax |
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Provider Business Mailing Address
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Address Line | 637 OAK MARSH DR
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City | MOUNT PLEASANT
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State | SC
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Zip | 29464-5178
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Country | US
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Telephone | 843-367-0190
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CAREY MCNAMARA
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Credential | ANP
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Telephone | 843-367-0190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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